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MILE LACK HEALTH SYSTEM PO Box A Obama MN 56359 Fax:(320) 5322399AUTHORIZATION FOR DISCLOSURE OF HEALTH INFORMATIONPatient Name: ___Date of Birth___ Address:___ Release Information From:Release Information
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New PA Joins MLHS is a new form for reporting employee information.
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Employers are required to file New PA Joins MLHS for all newly hired employees.
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New PA Joins MLHS can be filled out online or submitted in paper form.
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The purpose of New PA Joins MLHS is to collect employee information for payroll and tax purposes.
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Employee's personal information, employment status, and tax withholding information.
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